Provider Demographics
NPI:1558407080
Name:HENDRIX, SHARON S (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:S
Last Name:HENDRIX
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:A
Other - Last Name:SMALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:625 BENTON AVENUE
Mailing Address - Street 2:3RD FLOOR STE 300
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204
Mailing Address - Country:US
Mailing Address - Phone:615-322-8619
Mailing Address - Fax:615-385-1842
Practice Address - Street 1:VANDERBILT UNIVERSITY SCHOOL OF NURSING
Practice Address - Street 2:461 21ST AVENUE SOUTH
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37240-0001
Practice Address - Country:US
Practice Address - Phone:615-875-5603
Practice Address - Fax:615-936-0228
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14135363LF0000X
KY3001586363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3001586OtherKENTUCKY APRN REGISTRATION NUMBER
KY0161470-22OtherANCC BOARD CERTIFICATION
TNAPN0000014156OtherAPRN REGISTRATION NUMBER
KY1045507OtherKENTUCKY RN LICENSE NUMBER